One of the most important problems faced by couples expecting to have children is the risk of miscarriage. The possibility of recurrence, its causes and how to ensure a healthy pregnancy in the next pregnancy are the questions we try to answer.
Dizzical in medicine; Despite advances, limited treatment on the subject is sufficient to emphasize the importance of the problem. Whatever the number of weeks and stage of abortion , family members It is an irritating situation that disturbs people and doctors. Among these, recurrent low (recurrent habitual low) can be problematic.
Loss of a baby before the 20th week of pregnancy is called abortion. In fact, 30% of pregnancies cause miscarriages, and most of these are miscarriages that are not felt before pregnancy. Miscarriage lasting 3 weeks or longer within 20 weeks is called recurrent abortion.
Officeally confirmed pregnancy loss is called biochemical loss. Ultrasound image There is a loss before it is taken. After observing the pregnancy with ultrasound, the probability of miscarriage is 15%. A woman's lifetime probability of miscarriage is 25%.
It is the name given to miscarriages that occur before the 13th week of pregnancy. Usually in the first trimester of pregnancy It appears in the month. More than 50% of early pregnancy miscarriages are caused by random chromosomal abnormalities in the fetus without recurrent features. In short, nature's evil It can be called a protection mechanism against products.
This is an abnormal result. Because of this, older women are also a condition that increases the likelihood of miscarriage. Some systemic diseases that cannot be controlled in pregnant women can also cause recurrent miscarriages. Thyroid disease, diabetes, infections, medications, some chemicals, radiation anesthetic gas exposure can also cause miscarriages.
Contrary to popular belief, physical exercise, travel, sexual activity and walking do not cause falls. No restrictions are needed when there are no serious risks. The most important symptoms of the threat of miscarriage are pain, bleeding and cramps. It can be in the form of bleeding or it can be severe. However, bleeding that may occur during pregnancy must be brought under the control of a doctor.
While investigating the cause of miscarriage, in addition to general physical examination, gynecological examination and ultrasound examinations, uterine film, uterine cavity biopsy, genetic examination of the abortion area are also requested, and immune system research if possible is also necessary. If you have recurrent miscarriages, you should definitely investigate the reasons.
Antibodies are complex structures produced by the body's defense system and used in combat. However, sometimes antibodies are produced against the body's normal tissues. Of every 100 women with recurrent miscarriages, 15 have a certain type of antibody. These structures, called anti-phospholipid antibodies (aPL), can cause miscarriages.
The incidence of APL among women with normal delivery is as high as 2%. Statistics, if you have a high aPL and recurrent low If there is, it shows that the chance of a successful new pregnancy is 1/10. Causes include chromosomal diseases of the parents, some problems in the uterus, fibroids and congenital structural disorders.
Prolactin (PRL), breast milk; It is a hormone that stimulates its production. It is secreted from the anterior lobes of a gland called the pituitary gland at the bottom of the brain. In some women, the secretion of this hormone rises above normal levels. In this case, the patient's ovulation pattern and menstrual cycle; it breaks down. Recurrent abortions are also common in these patients. However, causality cannot be established. Perhaps these two situations together are the manifestation of another problem. Abortions decrease with the correction of hyperprolactinemia.
During the ultrasound examination, many cystic structures that line up like pearls can be seen on the surface of the ovary. These are actually follicle names. It is smaller than normal oocysts given. Therefore, the name of the cyst is actually a misnomer and is considered a pathological cyst and patients need not worry. Hormonal imbalances and ovulation problems are common.